Individual provider Active NPI

Michael Scott Haydon, M.D.

  • Plastic Surgery Physician
  • West Lake Hills, TX
National Provider Identifier
1376636126
Registry record updated Feb 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
L4432 Issued in TX
Practice address
4701 Bee Caves Rd Ste 202
West Lake Hills, TX 78746-5366
Phone
(512) 300-2600
Fax
(512) 300-2602
NPI assigned
Oct 2, 2006
Last updated
Feb 21, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X L4432 TX Primary

Addresses

Primary practice location

4701 Bee Caves Rd Ste 202
West Lake Hills, TX 78746-5366

Mailing address

4701 Bee Caves Rd Ste 202
West Lake Hills, TX 78746-5366
Phone (512) 300-2600

Other identifiers 1

IdentifierTypeStateIssuer
152271601MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031210000756 TX Practitioner - Plastic and Reconstructive Surgery 4284530205 Practice locations: West Lake Hills, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
L4432TXMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
J. Lauren Crawford, MD, PLLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519171200000",
    "number": "1376636126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 BEE CAVES RD STE 202",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465366",
            "telephone_number": "512-300-2600",
            "fax_number": "512-300-2602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 BEE CAVES RD STE 202",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465366",
            "telephone_number": "512-300-2600",
            "fax_number": "512-300-2602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYDON",
        "first_name": "MICHAEL",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2018-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "L4432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152271601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lake Hills, TX

Sources for this page

Verify at the official NPI Registry.